Tennessee Conference UMC
304 S. Perimeter Park Dr.
Nashville, TN 37211
PH: 615-329-1177
© 2010

Volunteers in Mission Scholarship Registration

Please fill out the information below.
If you have a question email or call Jason Brock

* Required Fields

*Your Church:
*Your District:
*First Name:
*Last Name:
*Address:
*City:
*State:
*Zip:
*Phone:
*Email Address:
*Year of Birth:
*Where Going:
*Dates of Trip:
*Total Cost of Trip for You:
*Team Leader Name:
*Team Leader Phone:
*Team Leader Email:
*Have You Been on a Mission Trip Before:
*Financial Need (High, Medium, Low):
Please click the Send button only once.